Individual provider Active NPI

Olivia Erin Denson, LCSWA

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1881328813
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017949 Issued in NC
Practice address
2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008
Phone
(910) 238-2774
Fax
(910) 387-0757
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017949 NC Primary

Addresses

Primary practice location

2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008

Mailing address

270 Harris Creek Rd
Jacksonville, NC 28540-9484
Phone (910) 750-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P017949NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Psychology Associates, PLLC Clinical CurrentSince Jul 17, 2022 Accepting new patients

Locations

2457 Gum Branch Rd
Ste 800
Jacksonville, NC 28540
Phone (910) 238-2774

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25666/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1881328813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HARRIS CREEK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409484",
            "telephone_number": "910-750-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 GUM BRANCH RD STE 800",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404008",
            "telephone_number": "910-238-2774",
            "fax_number": "910-387-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "OLIVIA",
        "middle_name": "ERIN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.